GAURI PETHE MD
NPI 1497232375
Internal Medicine - Rheumatology in Marshfield, WI
NPI Status: Active since July 24, 2018
Contact Information
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
Phone: (715) 387-5511
- Individual
- Female
- Internal Medicine
- Rheumatology
- Accepts Insurance
- PECOS Enrolled
About GAURI PETHE
This page provides the complete NPI Profile along with additional information for Gauri Pethe, an internist established in Marshfield, Wisconsin with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1497232375 assigned on July 2018. The practitioner's primary taxonomy code is 207RR0500X with license number 82969 (WI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1497232375
- Provider Name
- GAURI PETHE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1000 N OAK AVE MARSHFIELD, WI 54449
- Location Phone
- (715) 387-5511
- Mailing Address
- 1000 N OAK AVE MARSHFIELD, WI 54449
- Mailing Phone
- (715) 387-5511
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2018
- Last Update Date
- 07-31-2024
- Code Navigator
An internist like Gauri Pethe is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 355 Ridge Ave
Evanston, IL 60202
(847) 316-4000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 82969
- License State
- WI
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Gauri Pethe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54449 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.41
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $23.85
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for GAURI PETHE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 3 | 2 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 3 | 4 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 3 + 4 + 3 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1497232375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982693883 | KRISTEN JEAN RASMUSSEN M.S. Individual | Genetic Counselor, MS | 1000 N OAK AVE MARSHFIELD CLINIC; 3C1 MARSHFIELD, WI 54449 (715) 221-7408 |
| 1275522971 | CHRISTINA ANN ZALESKI M.S. Individual | Genetic Counselor, MS | 1000 N OAK AVE 3C1 MARSHFIELD, WI 54449 (715) 221-7407 |
| 1588653117 | CARRIE A ZABEL M.S. Individual | Genetic Counselor, MS | 1000 N OAK AVE DEPT OF MEDICAL GENETICS - 3C1 MARSHFIELD, WI 54449 (715) 221-7400 |
| 1538144282 | LEA K LUA MD Individual | Pediatrics (Pediatric Critical Care Medicine) | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1942274352 | NARAYANA S MURALI MD Individual | Internal Medicine (Nephrology) | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1538190376 | KATHLEEN A CYPHER MSSW Individual | Social Worker | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1225060890 | BOYD EARL VOMOCIL M.D. Individual | Nuclear Medicine (Nuclear Imaging & Therapy) | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1477587889 | L REBECCA CAMPBELL MD Individual | Psychiatry & Neurology (Neurology) | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1467487058 | JULIE A BERGER MS CCCA Individual | Audiologist | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1710907142 | DONNA PROHAZKA MD Individual | Radiology (Diagnostic Radiology) | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1841304771 | ANNE R. MATTSON MS CCC-SLP Individual | Speech-Language Pathologist | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5511 |
| 1053426528 | DOUGLAS J WOOD MS CCCA Individual | Audiologist | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5371 |
| 1316052889 | HAROLD WERTH PA Individual | Physician Assistant | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5235 |
| 1760597231 | ROBERT RENNELLS PA Individual | Physician Assistant | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5235 |
| 1417062936 | JAMES A HOLZBERGER MD Individual | Ophthalmology | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 221-7572 |
| 1477668994 | RICHARD B PATCHETT MD Individual | Ophthalmology | 1000 N OAK AVE MARSHFIELD, WI 54449 (713) 387-9371 |
| 1477668903 | ELLEN M GORDON MD Individual | Dermatology | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-9269 |
| 1891800322 | STELLA FRUNZA PATTEN MD Individual | Dermatology | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-9460 |
| 1902912439 | DENNIS R ANDERSON MD Individual | Ophthalmology | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 389-4027 |
| 1437264991 | KATHARINE HOBART ODELL PHD, CCC-SLP Individual | Speech-Language Pathologist | 1000 N OAK AVE MARSHFIELD, WI 54449 (715) 387-5128 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497232375, enumerated in the NPI registry as an "individual" on July 24, 2018
The provider is located at 1000 N Oak Ave Marshfield, Wi 54449 and the phone number is (715) 387-5511
The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $95.41 and an average copayment of 23.85. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 24, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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